以宗健脊十八式对强直性脊柱炎患者躯体功能及腰曲的影响
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摘要
目的:观察"以宗健脊十八式"对强直性脊柱炎患者躯体功能及腰曲的影响。方法:将符合标准的60例强直性脊柱炎患者,随机分为试验组30例,对照组30例。试验组患者常规治疗予按脊松枢法结合蜂针,并由中医整脊科专科医生指导患者行"以宗健脊十八式"功能锻炼,对照组予按脊松枢法结合蜂针治疗,未行"以宗健脊十八式"功能锻炼。治疗12周后,观察2组患者脊柱痛评分、夜间痛评分、BASDAI、BASMI、腰椎弓形面积、LCI指标。结果:2组较治疗前脊柱痛评分、夜间痛评分、BASDAI、BASMI、腰椎弓形面积、LCI均明显改善(P<0.01),差异有统计学意义;治疗12周后,2组间比较,试验组脊柱痛评分显著降低(P<0.01),差异有统计学意义;试验组夜间痛评分、BASDAI低于对照组(P<0.05),差异有统计学意义;2组BASMI、腰椎弓形面积、LCI比较(P<0.05),差异无统计学意义。结论:"以宗健脊十八式"功能锻炼能降低AS患者的脊柱痛评分、夜间痛评分、BASDAI,改善AS患者的疼痛、僵硬、晨僵等症状,BASMI评分也得到一定程度的降低,关节的活动度和灵活性得到提高,腰椎弓形面积、LCI、腰椎生理曲度也在一定程度上得到改善或恢复。
Objective: To observe the effect of Yi Zong's 18 styles of making the spine healthy on body function and lumbar curvature in patients with ankylosing spondylitis(AS). Methods Sixty AS patients were randomly divided into experimental group(n=30) and control group( n=30). Patients in the experimental group were routinely treated wit h compressing spinal columns and loosening hinges combined with bee acupuncture. The chiropractic specialist of traditional Chinese medicine guided the patients to exercise Yi Zong's 18 styles of making the spine healthy. Patients in the control group were routinely treated with compressing spinal columns and loosening hinges combined with bee acupuncture,not exercising Yi Zong's 18 styles of making the spine healthy. After 12 weeks of treatment, patients in the two groups were observed for spinal pain score, nighttime pain score, BASDAI, BASMI, lumbar vertebral arch area, and LCI indicators. Results The scores of spinal pain, nocturnal pain, BASDAI, BASMI, lumbar vertebral arch area and LCI of the two groups were significantly improved after treatment(P<0.01), and the differences were statistically significant.After 12 weeks of treatment, compared between the two groups, the score of spinal pain in the experimental group was significantly reduced(P<0.01) the difference was statistically significant. The scores of night pain and BASDAI in the experimental group were lower than those in the control group(P<0.05), and the difference was statistically significant.Comparison of BASMI, lumbar arch area and LCI between the two groups showed no statistical significance(P<0.05).Conclusion Functional exercise can reduce spinal pain score, night pain score and BASDAI of AS patients, and relieve pain, stiffness, morning stiffness and other symptoms of AS patients. The BASMI score was also reduced to a certain extent, and the range of motion and flexibility of joints were improved. Lumbar pedicle area, LCI, and lumbar physiological curvature were also improved or recovered to some extent.
Objective: To observe the effect of Yi Zong's 18 styles of making the spine healthy on body function and lumbar curvature in patients with ankylosing spondylitis(AS). Methods Sixty AS patients were randomly divided into experimental group(n=30) and control group( n=30). Patients in the experimental group were routinely treated wit h compressing spinal columns and loosening hinges combined with bee acupuncture. The chiropractic specialist of traditional Chinese medicine guided the patients to exercise Yi Zong's 18 styles of making the spine healthy. Patients in the control group were routinely treated with compressing spinal columns and loosening hinges combined with bee acupuncture,not exercising Yi Zong's 18 styles of making the spine healthy. After 12 weeks of treatment, patients in the two groups were observed for spinal pain score, nighttime pain score, BASDAI, BASMI, lumbar vertebral arch area, and LCI indicators. Results The scores of spinal pain, nocturnal pain, BASDAI, BASMI, lumbar vertebral arch area and LCI of the two groups were significantly improved after treatment(P<0.01), and the differences were statistically significant.After 12 weeks of treatment, compared between the two groups, the score of spinal pain in the experimental group was significantly reduced(P<0.01) the difference was statistically significant. The scores of night pain and BASDAI in the experimental group were lower than those in the control group(P<0.05), and the difference was statistically significant.Comparison of BASMI, lumbar arch area and LCI between the two groups showed no statistical significance(P<0.05).Conclusion Functional exercise can reduce spinal pain score, night pain score and BASDAI of AS patients, and relieve pain, stiffness, morning stiffness and other symptoms of AS patients. The BASMI score was also reduced to a certain extent, and the range of motion and flexibility of joints were improved. Lumbar pedicle area, LCI, and lumbar physiological curvature were also improved or recovered to some extent.
引文
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[5]吴明方.强直性脊柱炎患者的运动处方[J].中国临床康复,2002,6(23):3480-3481.
[6]纪树荣.运动疗法技术学[M].北京:华夏出版社,2004:103-109.
[7]高根德,冯建帮.器械过伸疗法治疗强直性脊柱炎脊柱屈曲畸形[J].中国中医骨伤杂志,2010,(12):11-13.
[8]Passalent LA,Soever LJ,O’Shea FD,et al.Exercise in ankylosing spondylitis:discrepancies between recommendations and reality[J].J Rheumatol,2010,37(4):835-841.
[9]韦以宗.中国整脊学[M].北京:人民卫生出版社,2016:246-247.
[10]韦以宗.中国整脊学[M].北京:人民卫生出版社,2016:380.
[11]Zochling J,Heijde D V D,Burgosvargas R,et al.ASAS/EULAR recommendations for the management of ankylosing spondylitis[J].Annals of the Rheumatic Diseases,2006,65(1):442-452.
[12]戚晓梅,江淑秋,毛海燕.等.运动疗法对强直性脊柱炎患者关节功能的影响[J].齐齐哈尔医学院学报,2006,(17):2152.
[13]Fernandez-de-Las-Penas C,Alonso-Blanco C,Alguacil-Diego I M,et al.One-year follow-up of two exercise interventions for the management of patients with ankylosing spondylitis:a randomized controlled trial.[J].American Journal of Physical Medicine&Rehabilitation,2006,85(7):559-561.
[14]丁勇,林华波,艾佳.运动疗法治疗强直性脊柱炎的临床效果观察[J].实用中西医结合临床,2017,17(3):17-18.
[15]蒋明,DAVID YU,林孝义,等.中华风湿病学[M].北京:华夏出版社,2004:1003-1005.
[2]Aytekin E,Caglar N S,Ozgonenel L,et al.Home-based exercise therapy in patients with ankylosing spondylitis:effects on pain,mobility,disease activity,quality of life,and respiratory functions[J].Clinical Rheumatology,2012,31(1):91-97.
[3]陈海丽.浅析应用运动疗法治疗强直性脊柱炎的临床效果[J].中医临床研究,2014,(23):98-99.
[4]Yigit S,Sahin Z,Demir S E,et al.Home-based exercise therapy in ankylosing spondylitis:short-term prospective study in patients receiving tumor necrosis factor alpha inhibitors.[J].Rheumatology International,2013,33(1):71-77.
[5]吴明方.强直性脊柱炎患者的运动处方[J].中国临床康复,2002,6(23):3480-3481.
[6]纪树荣.运动疗法技术学[M].北京:华夏出版社,2004:103-109.
[7]高根德,冯建帮.器械过伸疗法治疗强直性脊柱炎脊柱屈曲畸形[J].中国中医骨伤杂志,2010,(12):11-13.
[8]Passalent LA,Soever LJ,O’Shea FD,et al.Exercise in ankylosing spondylitis:discrepancies between recommendations and reality[J].J Rheumatol,2010,37(4):835-841.
[9]韦以宗.中国整脊学[M].北京:人民卫生出版社,2016:246-247.
[10]韦以宗.中国整脊学[M].北京:人民卫生出版社,2016:380.
[11]Zochling J,Heijde D V D,Burgosvargas R,et al.ASAS/EULAR recommendations for the management of ankylosing spondylitis[J].Annals of the Rheumatic Diseases,2006,65(1):442-452.
[12]戚晓梅,江淑秋,毛海燕.等.运动疗法对强直性脊柱炎患者关节功能的影响[J].齐齐哈尔医学院学报,2006,(17):2152.
[13]Fernandez-de-Las-Penas C,Alonso-Blanco C,Alguacil-Diego I M,et al.One-year follow-up of two exercise interventions for the management of patients with ankylosing spondylitis:a randomized controlled trial.[J].American Journal of Physical Medicine&Rehabilitation,2006,85(7):559-561.
[14]丁勇,林华波,艾佳.运动疗法治疗强直性脊柱炎的临床效果观察[J].实用中西医结合临床,2017,17(3):17-18.
[15]蒋明,DAVID YU,林孝义,等.中华风湿病学[M].北京:华夏出版社,2004:1003-1005.
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